Let Us Help You and Your Business

If you are a business interested in working with the Vermont Sustainable Jobs Fund’s Business Coaching program, please fill out the questionnaire below. The information being collected will be used as your first point of contact with us so that we may know a little about you and your business before an initial call or meeting. It will help us better serve your needs. Please note that information provided in this form will not be shared with anyone outside our organization.

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* 1. Contact Information

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* 2. Business Information

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* 3. Website Address

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* 4. Type of Business (check all that apply):

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* 5. We Need Assistance With (check all that apply):

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* 6. Which type of coaching service are you most interested in (check all that apply):

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* 7. Business Ownership:

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* 8. Business Location:

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* 9. Year Business Started:

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* 10. Legal Entity:

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* 11. Total Number of Employees:

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* 12. Gross revenue for most recent business year:

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* 13. In what language do you conduct your business?

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* 14. In what language are you requesting assistance in?

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* 15. How did you hear about our program? (check all that apply)

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